| NPI | 1396096665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASONYA NIX Billing Dorector 256-882-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH6588) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |